Collect Memories at Home LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

COLLECT MEMORIES AT HOME LLC

Practice address

600 W Gay Ave
Gladewater, TX 75647-4802

Phone

(903) 241-8718

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan B Palmer, RNNPI 1447925425

Title

Registered Nurse

Phone

(903) 241-8718

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Bailey Palmer, APRN-CNP

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1447925425
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1306338124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2082",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062082",
            "telephone_number": "903-241-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W GAY AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756474802",
            "telephone_number": "903-241-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECT MEMORIES AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "903-241-8718",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lynn Broyles
• C.L. Kirby, DDS PLLC (Gladewater Family Dental)
• Tracy Casey, FNP
• Stacy Caron Christine, LVN
• Patrick Coffey
• Jordan Davis Corpier, RN
• Angela Brooke Cox, D.C.
• CVS Pharmacy Inc (CVS Pharmacy #07444)
• Augusta Helene Daughtry
• Robert Davidson, M.D.

• Personal Care Attendant in Gladewater, TX
• Providers in Gladewater, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.